FORM 1023-EZ for PLAINVIEW QUARTERBACK CLUB

Field Data
EIN 47-3866948
Case Number EO-2015121-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAINVIEW QUARTERBACK CLUB
Organization’s Mailing Address 3931 ROLLING HILLS DRIVE
City ARDMORE
State OK
ZIP 73401
Accounting period End 6
Primary contact name MARK BREWSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK BREWSTER
PRESIDENT
3931 ROLLING HILLS DRIVE
ARDMORE OK 73401

Officer/Director/Trustee Two

BYAN MARR
VICE PRESIDENT
211 ABSHIRE CIRCLE
ARDMORE OK 73401

Officer/Director/Trustee Three

CHRIS BERUS
DIRECTOR
1140 SOUTH PLAINVIEW ROAD
ARDMORE OK 73401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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